June 04, 2019
The U.S. Preventive Services Task Force (USPSTF) has issued a new recommended preventive service:
The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.
Non-grandfathered group health plans must cover this service, without cost-sharing, i.e., no copay, coinsurance, or deductible, effective for plan years beginning on or after June 11, 2020 (January 1, 2021 for calendar year plans).
The ACA requires that non-grandfathered group health plans cover, without cost-sharing, all preventive services with an A or B rating from the USPSTF.